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Background: Intussusception is a common cause of intestinal obstruction in children, typically occurring between 6 months and 3 years of age. While most cases are idiopathic, rare cases involve pathological lead points. Ileo-ileal intussusception is an uncommon variant, often associated with anomalies such as heterotopic pancreatic tissue.
Case Presentation: We report a rare case of a 2-month-old infant presenting with inconsolable crying and feeding refusal, diagnosed with ileo-ileal intussusception due to pancreatic heterotopia. Ultrasound confirmed the diagnosis, leading to successful surgical resection of the affected ileal segment, with an uneventful recovery.
Conclusion: This case emphasizes the importance of considering intussusception in younger infants with nonspecific symptoms. Early imaging, particularly ultrasound, plays a critical role in timely diagnosis. Though rare, pancreatic heterotopia can act as a pathological lead point, highlighting the need for awareness and prompt surgical intervention to optimize pediatric patient outcomes.
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http://dx.doi.org/10.1007/s40477-025-01006-x | DOI Listing |
J Surg Case Rep
August 2025
Department of General Surgery, Mamata Academy of Medical Sciences, Hyderabad 500118, India.
Ectopic pancreas is a rare condition where pancreatic tissue develops outside its normal location, often remaining asymptomatic. We present a case of a 45-year-old woman with type 2 diabetes and hypertension who presented with postprandial abdominal pain, projectile vomiting, and constipation, clinically suggestive of intestinal obstruction. Computed tomography revealed jejunal wall thickening, raising suspicion of a neoplastic lesion.
View Article and Find Full Text PDFCureus
June 2025
Gastroenterology and Hepatology, Sheikh Shakhbout Medical City, Abu Dhabi, ARE.
Pancreatic heterotopia is a rare congenital disorder characterized by ectopic pancreatic tissue without anatomical or vascular connection to the native pancreas. It is mostly asymptomatic and can present with non-specific gastrointestinal symptoms. Rare complications such as intussusception have been reported with this condition.
View Article and Find Full Text PDFBMC Gastroenterol
July 2025
Affiliated Hospital of Qingdao University, Qingdao, China.
Background: The clinical course and manifestations of subepithelial lesions (SEL) patients tend to vary from different pathological types, therefore the accurate diagnosis of SEL would undoubtedly be beneficial to the treatment and prognosis of SEL patients. Based on the decision tree method, we developed a novel classification model for SELs by combining endoscopy with endoscopic ultrasound (EUS).
Methods: We retrospectively collected data from 469 patients hospitalized in the Affiliated Hospital of Qingdao University between January 2017 to November 2021 for endoscopic resection.
Clin J Gastroenterol
August 2025
Division of Gastroenterology and Hepatology, Department of Internal Medicine, School of Medicine, Iwate Medical University, 2-1-1, Yahaba, Iwate, 028-3695, Japan.
A 74-year-old man presented with intestinal obstruction. CT (computed tomography) revealed a 25-mm mass in the proximal jejunum. Double-balloon endoscopy (DBE) identified a smooth, asymmetrically localized mass with oozing and luminal stenosis covered with the mucosa of swollen villi.
View Article and Find Full Text PDFJ Surg Case Rep
June 2025
Johns Hopkins Aramco Healthcare, Department of Pathology, 8131 Medical Access Rd No. 1, 34465, Eastern Province, Dhahran, Saudi Arabia.
Gastroesophageal junction pancreatic heterotopia is an uncommon congenital condition where pancreatic tissue is present outside its normal anatomical location. We present a case series of four patients who have presented with nonspecific, vague gastrointestinal symptoms that included abdominal pain, dyspepsia, and heartburn. Endoscopy was performed and revealed irregular Z-lines in three out of the four patients, with high suspicion of Barrett's esophagus.
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